The Arc
1641 West Big Beaver Road
Troy, Michigan 48084-3501
Phone 248-816-1900 Fax 248-816-1906
Membership Application
___ Standard Membership $55.00 per year
___ Senior Membership (62 years and older) $45.00 per year
___ Lifetime Membership $1,000.00
___ Benefactor $200.00 per year
___ Patron $150.00 per year
___ Group Membership $100.00 per year
___ Sponsor $75.00 per year
___ NEW MEMBER? or ___ RENEWAL?
Please print this application, fill out the information and send in to:
The Arc of Oakland County
1641 W. Big Beaver Road
Troy, MI 48084-3501
Name |
_____________ __________________________ |
Street Address |
_____________ __________________________ |
City |
________________________________________ |
State, Zip |
_____________ ____________ |
Telephone |
_______ - _______ ____________ |
Select Payment:
Personal checks for donations are certainly welcome, please make check payable to The Arc of Oakland County.
To join using your Visa or Mastercard, complete the following form;
Check if |
_____ Visa or _____Master Card |
Card Number |
___________________________________ |
Expiration Date |
Month _____ Year _____ |
Authorized Signature |
_________________________________________ |
Name Shown on card |
_________________________________________ |
We also accept Visa and Mastercard by phone, you may call us at 248-816-1900 to process your donation by credit card.
